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Angiography & Cardiac Imaging - (ACIC-601) (MIT): Course Content

A procedure that uses X-rays or CT scans to visualize the inside of blood vessels by injecting a contrast dye.

Course Outline

CARDIAC CATHETERIZATION
 Indication for cardiac catheterization
 Contraindication
 Complication and risk
 Preparation of the patient
 Equipment in the catheterization laboratory
 Environment safety in the catheterization laboratory
 Arterial and venous access
 Percutaneous femoral approach
 Arm approach
 Use of heparin during cardiac catheterization
 Problems of vascular access
HEMODYNAMIC DATA
 Pressure waves in the heart
 Right and left sided heart catheterization  Computation for hemodynamic measurements
 Computation for valve areas from pressure gradients and cardiac output
 Examples of aortic and mitral valve area calculations
 Use of valve resistance for aortic stenosis
 Measurement of cardiac output
 Fick oxygen consumption method
 Equipment used for hemodynamic study
 Hemodynamic recording technique
 Components of the electrocardiogram
ANGIOGRAPHIC DATA
 Coronary arteriography
 Problems and solution in the interpretation of angiograms
 Ventriculography
 Ascending aortography
 Abdominal aortography
 Pulmonary angiography
 Peripheral vascular angiography
 X-ray image
 Digital angiography
 Radiation safety
 Injectors and contrast materials
 Angiographic catheters
 Medications used in coronary angiography
 Pacemakers
ELECTROPHYSIOLOGICAL STUDIES AND ABLATION TECHNIQUES
 Technical aspect
 Procedures
 Utility of electrophysiological study for specific diagnosis
 Catheter ablation
SPECIFIC TECHNIQUES
 Trans-septal heart cauterization
 Direct transthoracic left ventricular puncture
 Endomyocardial biopsy
 Coronary sinus catheterization
 Pericardiocentesis
 Intravascular foreign body retrieval
HIGH RISK CARDIAC CATHETERIZATION
 High risk patient
 Incidence of complications in the high risk patient
 Management of Arrhythmias in high risk patients
 Cardiac support devices
INTERVENTIONAL TECHNIQUES
 Percutaneous coronary interventions
 valvuloplasty
CLINICAL:
 History taking Patient preparation
 Hands on training on a angiographic unit
 Basic interpretation of angiogram

Course Objectives

Course Learning Objectives:
 To gain an understanding of coronary anatomy and hemodynamics and to acquire the technical skills required to gain venous and arterial access and to perform coronary angiography (C2)
 Become familiar with the current and potential future role of cardiac imaging for risk assessment, scan protocol decision-making, and production of the best image quality of imaging modalities used in cardiac imaging. (C2)
 Develop an appreciation for the importance of proper patient preparation and safety in the catheterization laboratory. (A3)
 Acquire the technical skills required to perform coronary angiography and related procedures. (P3)
 To practice and demonstrate proficiency in interpreting angiographic data and hemodynamic measurements. (P3)